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Fetal cardiac intervention for right sided heart disease: Pulmonary atresia with intact ventricular septum
Author(s) -
Strainic James
Publication year - 2019
Publication title -
birth defects research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.845
H-Index - 17
ISSN - 2472-1727
DOI - 10.1002/bdr2.1499
Subject(s) - medicine , heart disease , pulmonary atresia , intervention (counseling) , cardiology , fetus , in utero , cardiac dysfunction , ventricular function , disease , cardiac function curve , intensive care medicine , pregnancy , heart failure , psychiatry , biology , genetics
Congenital heart disease (CHD), the most common of birth defects, can be serious enough to require a lifetime of medical care including multiple surgeries or other interventions. Advances in ultrasound technology and a better understanding of the progression of CHDs have made it possible to intervene in utero. This early stage intervention allows the still plastic cardiovascular system to return to a more normal trajectory thus sparing the newborn from negative consequences to morbidity and mortality. Fetal cardiac intervention (FCI) has been successful for the alleviation of left ventricular dysfunction resulting in remarkably positive outcomes for many families. Promising results support that FCI may also be useful in alleviating right ventricular dysfunction. This bodes well for expanding the use of FCI to lead to better postnatal adaptation and improved long‐term function for more children with CHD.